Healthcare Provider Details

I. General information

NPI: 1841761665
Provider Name (Legal Business Name): VANESSA LEE RICHARDSON LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VANESSA LEE SLOTHOUR LMHC

II. Dates (important events)

Enumeration Date: 12/06/2018
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9507 N DIVISION ST STE M2
SPOKANE WA
99218-1248
US

IV. Provider business mailing address

9507 N DIVISION ST STE M2
SPOKANE WA
99218-1248
US

V. Phone/Fax

Practice location:
  • Phone: 509-217-7880
  • Fax:
Mailing address:
  • Phone: 509-939-0598
  • Fax: 509-368-7876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC.LH.61280368
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: